Roommate Matching Form

The Regent offers traditional student housing, which means we lease by-the-bed and match you with your roommates. Use this form to tell us about yourself, then we'll use the information to help make the right match. Please take your time filling out this form to ensure that it's accurate.

You can pick your own roommate if you prefer, but we still need you to complete and return the first few questions on this form.

Residents moving into one studio or one bedroom apartments do NOT need to complete this form.

Resident Information

Name: * Nickname:

Home Address:

City:
State:
ZIP:

Gender: *
Female Male

Date of Birth (day/month/year):*

Current Address:

City:
State:
ZIP:

Email: *
Home/Cell:

Year in School:
Freshman Transfer Other

Emergency Contact Information #1

Name:
Relationship to you:

Address:

City:
State:
ZIP:

Phone Day:

Emergency Contact Information #2

Name:
Relationship to you:

Address:

City:
State:
ZIP:

Phone Day:

Roommate Selection

Do You Already Have a Roommate? (choose one)

NO
We will provide roommate matching for you. Please continue to complete this form.

PARTIALLY
If you already know one or two of the people you want to room with, but still want to be matched into a larger group, please list their first and last names below. Everyone in your group must have the same names listed on their forms and you must all complete this entire form.

Roommate Names

YES
If you have already chosen roommates please list their first and last name(s) below. Please note everyone in your group must have the same names listed on their form. You do not need to complete the rest of this form.

Roommate Names

I'M LIVING ALONE
If you are living in a one bedroom apartment you do not need to complete the rest of this form.

Personal Infomation

Parents should not complete this information, it must be completed by the resident. Please note Campus Connect does not sell or share this information with any one. Only the team that makes the matches will see it.

1. Where do you expect to do most of your studying?
Bedroom
Apartment
Study lounge
Library, coffee shop, etc.

2. When do you expect to do most of your studying?
Morning
Afternoon
Evening
Weekends

3. How much focus do you intend to put on your studies?
My only priority
A balance of work and play
Enough to get by

4. Does low background noise or light music bother you while you're studying?
Yes
No

5. Do you smoke?
Yes
Socially
No

Would you live with a smoker?
Yes
No

6. What time do you usually go to bed?
Early (8 pm to 10 pm)
Average (10 pm to midnight)
Late (after midnight)

7. What time do you usually wake up?
Early (5 am to 7 am)
Average (7 am to 10 am)
Late (after 10 am)